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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CiTY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR S7REET•EVERETT,WA 982G1 •257-8810 <br /> . ; DEMOLITION �.�: COMBINATION ❑ BUILDING `-'�. MECHANICAL I I PLUMBING � SIGN <br /> PROJECT ADDRESS /ZS ` �, E��� <br /> 0 <br /> OWNEF M�ILMORES� Clry LIP GHONE <br /> ��.1 Q h6hl ZSIO 6pe}�p�' AVE E S£A R$�IU2 �7 9ya'1 <br /> rEww. ununoo�ss cnv nv v�E <br /> +ra�i*�croNoesaHEr+ w.uimouEss ci*v z�v aroe� <br /> AENEMLIONiPqCiM M/Jl�OONl55 LItY 21i VMONE SiAiEVCEN$E� <br /> �p��E 3L11 �14r�h l../��r \',�3rwso San a41�N 20( �33i2�i Jerve<X 136cS <br /> A1fCNPNICPLCCNiPlLtql MPIL4DME5$ �— ZIG VIqNE $LPIELICENS[• <br /> P�uMdiN(:c:)rviRPGiGF MRI�/.00PE55 Cliv 2V GMOrvL SiPfELICkrvSE� <br /> �co *A+.:*���ccar„c�x HEATINCa SYSTEM: ❑GAS ❑ELECTRIC - <br /> 1;7.3oF! <br /> oesca�ee woen+ne scunee roc�ac[wvaveo warncr veAsorv nrvo vHOHe no <br /> ('��na�E 6 S{o+c Q V Q. - �N!{ \ <br /> �— <br /> TeRa la.�,_�an�v� 6Uc� _ _ <br /> I HEREBY CER�IFY THAT I HAVE HEAD AND EXAMINED T1�IS <br /> APPUCRTION ANv KNOW THE SAME TO BE TRUE AND GORRECL ALL <br /> >�+oroseo use av eunoirvc PROVISIONS OF IAWS AND OROINANGES GOVERNING THIS TYPE OF <br /> WOiiN WILL BE COMPLIED NITH WHETHER SPEQPIED HEREIN OR <br /> �ecu�csceir*io�+orv�ee*visw�weaeiowoan*ucr��wocowesi NOT THE GRFNT�NG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> w� e�ocK ov AUTHORITY TO VIO�ATE OF CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR IACAL LAW REGULATING WNSTRUCTION OR THE <br /> PERFORMANCE OP CONSTRUCTION.THAT I AM AUTHORRED BY THE <br /> OWNER OF THIS PROPERTV TO PERFppM THE V✓ORK FOR WHILH <br /> APPIICATION IS MADE AND 1 CLMPLV WITH THE STATE <br /> vnrre�*nx i o vvusea CONTRPCT)OBS LAW 189 PCW AND 296 2J0 WAG. <br /> CONSiPVCiIONIOFNLENIIEP.RCOFE55.iELEPHOxENUM9ER x `_Gf�(�yi�� �„J(��� <br /> SiGrvR �E � � OP�E� <br /> CITV BIISINE55 LICENSE NO <br /> PLUMBING MECHANICAL <br /> N0. TIVE OF FI%TUFE OX ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CIOSET(TOILET) A'C—NHNDLG UNITS � <br /> BATHTUB FORCED AIR SYSTEMS <br /> LPVATOFY(WASH BASIN� FIEAT�UMP <br /> SFOWER ' UNITHEATER$ <br /> j FI'CHEN SINK 8 DISP �' CLOTHES DRYERS <br /> D HWASHER '' RANGEkOOp <br /> LA-INDRYTRNY ' WATER HEATER <br /> �CLOTHES WNSHER ' �'OW STOVE ' <br /> URINAL �' METHLFIREPLACE�WOODBURNING) ' <br /> D4'NKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) �' <br /> ROOR JfiAIN � GFS FlpEPLACE �' <br /> BACKr�OW PREVENTEFS ' GAS RANGE <br /> SWK(SERVICE—BAR.ETC.) � GASPIPING <br /> � EXHAUSTFAN <br /> � SUBTOTPL 5 SUBTOTAL 5 <br /> PERMIT 5 PERMIT S ' <br /> TOTALFEE 5 TOTALFEE 5 ' <br /> FOR OFFICE USE ONLV: <br /> r���i+se*A.crc ncaaac*enr,x sioesE*encx vuMcnEa:n�Ea A rcE aEc[ivi�+ <br /> lYI�v�, <br /> vxe�n�. �o*�arn vaccrosih � FEES VALUATION FEE <br /> rJres n rvo p�i�owo <br /> �eiarriiuiruq,v uao�uwEiurq szcoce�oorti <br /> IINIiS pI�MBING '� <br /> GFOUVp�v WL[S�OPIES OLCUYPNILOP� 9FSEMENi MELMPNICN. I <br /> pYES iINO ', <br /> iiFESPPiHNLEFREGO REFSON Rp01ilONFIPI�NCNECN <br /> OinER <br /> FipEPUPMREO�� PEFSON '. <br /> s*�*e emmwa suacvneas � <br /> rweo�cv+sr wnrvsncvaweoev CITVOFEVERETT Poeucwams �''. <br /> LOCALSALES - � �. <br /> TAX CODE IS 3105 TOTnL ___ <br />